首页
外语
计算机
考研
公务员
职业资格
财经
工程
司法
医学
专升本
自考
实用职业技能
登录
考研
Let’s say a patient walks into my office and says he’s been feeling down for the past three weeks. A month ago, his fiancee left
Let’s say a patient walks into my office and says he’s been feeling down for the past three weeks. A month ago, his fiancee left
admin
2015-09-30
29
问题
Let’s say a patient walks into my office and says he’s been feeling down for the past three weeks. A month ago, his fiancee left him for another man, and he feels there’s no point in going on. He has not been sleeping well, his appetite is poor and he has lost interest in nearly all of his usual activities.
Should I give him a diagnosis of clinical depression? Or is my patient merely experiencing what the 14th-century monk Thomas a Kempis called "the proper sorrows of the soul"? The answer is more complicated than some critics of psychiatric diagnosis think. To these critics, psychiatry has medicalized normal sadness by failing to consider the social and emotional context in which people develop low mood for example, after losing a job or experiencing the breakup of an important relationship. This diagnostic failure, the argument goes, has created a bogus epidemic of increasing depression.
In their recent book " The Loss of Sadness"(Oxford, 2007), Allan V. Horwitz and Jerome C. Wakefield assert that for thousands of years, symptoms of sadness that were "with cause" were separated from those that were "without cause". Only the latter were viewed as mental disorders.
With the advent of modern diagnostic criteria, these authors argue, doctors were directed to ignore the context of the patient ’ s complaints and .focus only on symptoms—poor appetite, insomnia, low energy, hopelessness and so on. The current criteria for major depression, they say, largely fail to distinguish between "abnormal" reactions caused by "internal dysfunction" and "normal sadness" brought on by external circumstances. And they blame vested interests doctors, researchers, pharmaceutical companies for fostering this bloated concept of depression.
Yes, most psychiatrists would concede that in the space of a brief "managed care" appointment, it’ s very hard to understand much about the context of the patient’s depressive complaints. And yes, under such conditions, some doctors are tempted to write that prescription for Prozac or Zoloft and move on to the next patient.
But the vexing issue of when bereavement or sadness becomes a disorder, and how it should be treated, requires much more study. Most psychiatrists believe that undertreatment of severe depression is a more pressing problem than overtreatment of "normal sadness". Until solid research persuades me otherwise, I will most likely see people like my jilted patient as clinically depressed, not just "normally sad"—and I will provide him with whatever psychiatric treatment he needs to feel better.
The proper title for the text should be______.
选项
A、Transition from Sadness to Depression
B、The Misleading Concept of Depression
C、Redefining Depression as Mere Sadness
D、Current Diagnostic Criteria for Depression
答案
C
解析
在第一、二段举例的基础上,作者在第三段点明了本文的主题“…psychiatry has medicalizednormal sadness by failing to consider the social and emotional context…”,第四至七段对此进行了深入分析。所以,C应为答案。
转载请注明原文地址:https://kaotiyun.com/show/CXzZ777K
0
考研英语一
相关试题推荐
Smoking,whichmaybeapleasureforsomepeople,isaserioussourceofdiscomforttotheirfellows.(1)_____,medicalauthorit
Ithasbeennecessarytoreferrepeatedlytotheeffectsofthetwoworldwarsinpromotingallkindofinnovation.Itshouldbe
TheEconomistrecognizesthesetalentedpeoplethroughitsannualInnovationAwards,presentedinsixfields:bioscience,comput
WhentheAmericaneconomywasrunningfulltilttwoyearsago,fewplaceswereasbreathlesslydelightedasSeattle.Itsportwa
Cultureisactivityofthought,andreceptivenesstobeautyandhumanefeeling.【C1】______ofinformationhavenothingtodowith
Cultureisactivityofthought,andreceptivenesstobeautyandhumanefeeling.【C1】______ofinformationhavenothingtodowith
Cultureisactivityofthought,andreceptivenesstobeautyandhumanefeeling.【C1】______ofinformationhavenothingtodowith
Workhardandgetahead.That’swhateveryAmericanlearnsgrowingup,butformillionsofthem,it’sgettinghardertotellthe
Howhastheinternetchangedtheroleofrecordcompanies?Tomany,itseemedthedigitalworldwouldrenderrecordlabelsobsol
ArecentWoodyAllenmovieMidnightinParisdeliversaslightlychangedversionofafamousWilliamFaulknerquotation.Faulkne
随机试题
虎杖中蒽醌类的化学成分有
企业从事生产和经营的主要目的是()
胸部DSA检查不能将导管置于
患者,女性,33岁,因急性扁桃体炎服磺胺药,护士嘱其服药时要多饮水,其目的是
根据《政府采购法》的规定,政府采购的主要采购方式为()
某投资方案基准收益率为15%,若该方案的内部收益率为18%,则该方案()。
下图中胚芽鞘都能向右弯曲的是()。
注意事项1.本题本由给定材料与作答要求两部分构成。考试时限为150分钟。其中,阅读给定材料参考时限为40分钟.作答参考时限为110分钟。2.请在题本、答题卡指定位置上用黑色字迹的钢笔或签字笔填写自己的姓名和准考证号。并用2B铅笔在准考证
恩格斯于1820年11月28日出生在德国巴门市的一个工厂主家庭。他称自己一生所做的事就是“拉第二小提琴”。恩格斯不仅与马克思一起创立马克思主义,参加并指导国际工人运动,而且在传播和发展马克思主义方面做出了杰出的贡献。恩格斯全面阐述马克思主义理论体系的著作是
Lookatthenotesbelowaboutamarketingconference.Someinformationismissing.Youwillhearpartofareporttocolleagues
最新回复
(
0
)